<?xml version="1.0" encoding="UTF-8"?>
<html xmlns="http://www.w3.org/1999/xhtml"; xmlns:wicket="http://wicket.apache.org/dtds.data/wicket-xhtml1.4-strict.dtd"; xml:lang="sk" lang="sk">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Insert title here</title>
</head>
<body>
	<wicket:extend>
	<form action="post" wicket:id="scoringRequestForm">
		<table>
			<colgroup>
				<col width="250"/>
			</colgroup>
			<tbody>
				<tr>
					<td>
						<label>Vek:</label>
					</td>
					<td>
						<input wicket:id="age"/>
					</td>
					<td>
						<label for="incomeOfApplicant"><wicket:message key="incomeOfApplicant"></wicket:message>:</label>
					</td>
					<td>
						<input wicket:id="incomeOfApplicant"/>
					</td>
				</tr>
				<tr>
					<td>
						<label for="expensesOfApplicant"><wicket:message key="expensesOfApplicant"></wicket:message>:</label>
					</td>
					<td>
						<input wicket:id="expensesOfApplicant"/>
					</td>
					<td>
						<label for="loanAmount"><wicket:message key="loanAmount"></wicket:message>:</label>
					</td>
					<td>
						<input wicket:id="loanAmount"/>
					</td>
				</tr>
				<tr>
					<td>
						<label>Doba splácania:</label>
					</td>
					<td>
						<input wicket:id="repaymentPeriod"/>
					</td>
					<td>
						<label for="fixation"><wicket:message key="fixation"></wicket:message>:</label>
					</td>
					<td>
						<input wicket:id="fixation"/>
					</td>
				</tr>
				<tr>
					<td>
						<label for="realPropertyValue"><wicket:message key="realPropertyValue"></wicket:message>:</label>
					</td>
					<td>
						<input wicket:id="realPropertyValue"/>
					</td>
					<td>
						<label>Rodinný stav:</label>
					</td>
					<td>
						<select wicket:id="familyStatus" name="familyStatus"></select>
					</td>
				</tr>
				<tr>
					<td>
						<label>Počet detí:</label>
					</td>
					<td>
						<select wicket:id="numberOfChildren" name="numberOfChildren"></select>
					</td>
					<td>
						<label>Počet nezaopatrených detí:</label>
					</td>
					<td>
						<select wicket:id="numberOfDependentChildren" name="numberOfDependentChildren"></select>
					</td>
				</tr>
				<tr>
					<td>
						<label>Typ nehnuteľosti:</label>
					</td>
					<td>
						<select wicket:id="realPropertyType" name="realPropertyType"></select>
					</td>
					<td>
						<label>Počet dospelých osôb:</label>
					</td>
					<td>
						<input wicket:id="numberOfAdultPersons"/>
					</td>
				</tr>
				<tr>
					<td>
						<label>Je spolužiadateľ?:</label>
					</td>
					<td>
						<input type="checkbox" wicket:id="coApplicant"/>
					</td>
					<td>
						<label>Príjem spolužiadateľa:</label>
					</td>
					<td>
						<input wicket:id="incomeOfCoApplicant"/>
					</td>
				</tr>
				<tr>
					<td>
						<label>Výdavky spolužiadateľa:</label>
					</td>
					<td>
						<input wicket:id="expensesOfCoApplicant"/>
					</td>
					<td>
						<label>Zamestnanie:</label>
					</td>
					<td>
						<select wicket:id="employment" name="employment"></select>
					</td>
				</tr>
				<tr>
					<td>
						<label>Vzdelanie:</label>
					</td>
					<td>
						<select wicket:id="highestEducation" name="highestEducation"></select>
					</td>
					<td>
						<label>Aktuálne bydlisko:</label>
					</td>
					<td>
						<input wicket:id="currentHousing"/>
					</td>
				</tr>
				<tr>
					<td colspan="4">
						<input type="submit" value="Odoslať žiadosť">
					</td>
				</tr>
			</tbody>
		</table>
	</form>
	</wicket:extend>
</body>
</html>